Category Archives: Issues

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November 2019

High Achilles Ankle Brace Relieves Pain

The High Achilles Ankle Brace was designed to relieve pain in the back of the heel caused by inflammation of the Achilles tendon; it is appropriate for post-Achilles tendon rupture, tendonitis, and strains. According to BRD Sport, the 3D knit technology creates targeted intermittent compression and reduces swelling while relieving pain and enhancing circulation. Continue reading

November 2019

Refresh Your Feet with Foot Finish Foot Repair Cream

Inspired by the rough, dry, cracked feet of professional dancers and dance students, Love, Lori is dedicated to providing healthy foot care that soothes and repairs battered feet. Now available from Love, Lori is Foot Finish Foot Repair Cream. The antifungal cream is formulated with tea tree oil, rose oil, and lavender to fight foot infection and odor while reducing inflammation. Continue reading

November 2019

Make Cadence Insoles your #1 Selling OTC – Free Samples

Exclusive to healthcare professionals and specialty retailers, Cadence insoles are a high-quality OTC orthotic that provide a unique combination of semi-rigid support and durable high rebound/low compression set polyurethane foam. No contracts, no minimum-order requirements, no investment in technology. And all Cadence retail partners get a Lifetime Cadence Performance Guarantee. Continue reading

November 2019

New Polyethylene Rigid Foam – Half the Weight!

Now available from JMS Plastics is its new Polyethylene Rigid Foam fabrication material. The workable foam is available in 20″ x 42″ sheets and in 5 thicknesses: 1/16″, 1/8″, 3/16″, 1/4″, 3/8″, and 1/2″. The new foam is both easy to grind and easy to mold – and you can’t beat its fabrication properties. The material is half the weight of competitive products, making it ideal for fabricating lower extremity products. Continue reading

September 2019

How Well Did You Read This Issue?

Test your knowledge of information from this issue of Lower Extremity Review and the world in general with our new crossword puzzle feature.

September 2019

Understanding Sensitivity and Specificity of Screening Tools for Early Detection of DFUs

In his June anniversary issue commentary, Proper Diabetes Care Can Reduce Rising Lower Extremity Amputation Rates (LER July 2019), Mark Hinkes, DPM, responded to the disheartening news that lower extremity amputations are increasing in the United States with a call to action: “I believe that the time has come for the standard of…

By Lynn Soban, PhD, MPH, RN Continue reading

September 2019

Unilateral remote daily temperature monitoring to predict diabetic foot ulcers shows promise

Diabetic foot ulcers (DFUs), the primary antecedent to diabetes-related lower extremity amputation (LEA), are common, costly, and preventable. Following a period of decline in incidence, the Centers for Disease Control and Prevention found the occurrence of diabetes-related LEA had rebounded an alarming 50% percent between 2009 and 2015.

By Lynn Soban, PhD, MPH, RN Continue reading

September 2019

Association Between Running Shoe Characteristics and Lower Extremity Injuries in United States Military Academy Cadets

Running-related overuse injuries are very common among recreational runners with the reported annual injury rates ranging from 39% to 85%. There are few large prospective cohort studies investigating injury risk associated with different running shoe characteristics and they are often contradictory. Our goal was to prospectively investigate the relationship between running shoe…

By Gary Helton, PT, DSc, SCS, OCS Continue reading

September 2019

KneeKG Effective in Management of Knee Osteoarthritis

Knee osteoarthritis (OA), a chronic progressive disease, is a common complaint in adults over age 45. Indeed, osteoarthritis is the most common joint disorder in many countries, affecting for example 13.9% of adults 25 years and older and 33.6% of people 65 years and older in the United States. The challenge for clinicians is the multifactorial nature of the disease and understanding the everyday mechanical factors that affect it. Continue reading

September 2019

An Excerpt: Physical Frailty: ICFSR International Clinical Practice Guidelines for Identification and Management 

Frailty is prevalent in all countries and is a leading contributor to functional decline and early mortality in older adults. The condition is defined as “a clinical state in which there is an increase in an individual’s vulnerability for developing an increased dependency and/or mortality when exposed to a stressor.” Frailty can begin before 65 years of age, but the onset escalates in those aged 70 years and over. Continue reading

September 2019

E-Cigarette, Vaping, Terminology and Facts

Excerpted from: US Centers for Disease Control and Prevention. Quick Facts on the Risks of E-cigarettes for Kids, Teens, and Young Adults. Updated March 11, 2019. Accessed Sept. 30, 2019.

Continue reading

September 2019

Vaping: How Smoking E-Cigarettes Affects Physiology and Athletic Performance

Editor’s Note: As of press time, the US Centers for Disease Control has reported 1299 cases of e-cigarette- or vaping-associated lung injury (EVALI) and issued interim guidance to assist with assessment, evaluation, management, and followup. The cases have been reported in 49 states and the Distric of Columbia, with 26 deaths reported across 21 states.

By Nicole Wetsman Continue reading

September 2019

Understanding the ‘odd gait’ of autism

Children with autism spectrum disorder are often described as “uncoordinated” or “clumsy” and many have clear motor control impairments. Early intervention to address motor deficits may improve physical skills and the difficulties with social functioning that are the hallmark of the disorder. Research among children with autism spectrum disorder (ASD) has traditionally focused on impairments in social skills, the condition’s core deficit.

By Keith Loria Continue reading

September 2019

Autism Linked to Between-Limb Asymmetries Across the Gait Cycle

Recent findings from the University of Nevada, Las Vegas (UNLV), add to a growing body of evidence that autism spectrum disorder (ASD) is associated with significant gait asymmetry, suggesting movement quality should be part of the diagnostic and treatment processes for ASD.

By Keith Loria Continue reading

September 2019

Quantitative Gait Assessment in Children With 16p11.2 Syndrome

Neurodevelopmental disorders are frequently associated with motor impairments including locomotion. These study findings highlight the importance of using precise measures to differentiate motor dysfunction in neurodevelopmental disorders.

By Sylvie Goldman, Aston K. McCullough, Sally Dunaway Young, Carly Mueller, Adrianna Stahl, Audrey Zoeller, Laurel Daniels Abbruzzese, Ashwini K. Rao, and Jacqueline Montes. Continue reading

September 2019

Early Orthotic Intervention in Pediatric Patients, Part 2: Down Syndrome, other neurological conditions, and toe walking

Down Syndrome is associated with a long list of compensatory gait symptoms due to hypotonia, triplanar foot and ankle misalignments, sagittal and coronal compensation at the knee, proximal weakness, and equinus contractures, all of which need to be treated. How early depends on the individual child.

By Cary Groner Continue reading

September 2019

Proof-of-Concept Prosthetic Leg Has Proprioception, Reduces Phantom Limb Pain

Two people with transfemoral amputations have been able to feel their prosthetic foot and knee in real time via 4 intraneural sensors that connect to residual nerves in the thigh. The resulting neurofeedback reduces the physical and mental strain for prosthetic users and has been shown to reduce phantom limb pain. Continue reading

September 2019

Noridian Updates RA Modifier Guidelines for DMEPOS

Noridian, the Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) for Jurisdictions A and D, has updated its guidelines regarding use of the RA Modifier, which is to be used for replacement of a DME, orthotic, or prosthetic item. Continue reading

September 2019

CMS Publishes New Fact Sheet for Correct Billing of DMEPOS during Inpatient Stays

A recent report by the US Department of Health & Human Services, Office of Inspector General determined that Medicare improperly paid suppliers for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items provided during inpatient stays. Medicare should not pay a supplier for items furnished to a beneficiary when the beneficiary is still an inpatient. Continue reading

September 2019

UW–Madison, Spinoff Testing Silver-Bearing Bandage for Wound Healing

The University of Wisconsin–Madison (UW–M) and a spinoff company, Imbed Biosciences, Fitchburg, WI, have received a $1.5 million, 2-year grant from the National Institutes of Health to test whether adding gallium metal ions to an ultra-thin material carrying antimicrobial silver can defeat the “biofilms” that shield bacteria from antibiotics. Continue reading

September 2019

Urea 40% Foot Cream

Tight and uncomfortable shoes, an active lifestyle, and long hours at work can damage the skin of one’s heels. Conceived as a treatment for such harm, PurSources Urea 40% Foot Cream is formulated to heal damaged feet in the quickest amount of time possible. This soothing foot product has a cooling sensation when applied, and it incorporates tea tree oil to repel fungal bacteria. Continue reading

September 2019

Plantar Fasciitis–Treating Flip Flop

The Healing Sole, a patented flip flop invented by orthopedic foot surgeon Meredith Warner, MD, was fashioned to promote recovery and general foot health by gently stretching and taking pressure off the wearer’s foot so the body can rest and heal itself over time. The product’s firm sole is designed to speed up the recovery of common foot presentations like plantar fasciitis, forefoot pain, and tendonitis. Continue reading

September 2019

OS1st WP4 Wellness Performance Socks

OS1st WP4 Wellness Performance Socks are the latest innovation in ING Source’s Socks with Purpose Program. The WP4s are strategically designed for individuals who suffer from diabetes, sensitive feet, edema, neuropathy, and poor circulation. They feature four zones of graduated compression to help boost circulation, reduce friction, and provide overall foot support. Continue reading

September 2019

B2Splint, Toe Spacer/Toe Crest Combination

PediFix now offers a new treatment option for bunions and hammer and crossover toe deformities, available for pre-, post-, or non-operative use. The B2, short for bunion and 2nd toe, was developed by Jeff DeSantis, DPM, FACFAS, of Cambridge Foot & Ankle Associates in Southern California. The relationship allows PediFix to expand availability of the B2 to podiatrists and their patients Continue reading

September 2019

Swede-O Fits All Open Patella Knee Support

The design of the Swede-O Fits All Open Patella Knee Support from Core Products is less painful to apply and easier to adjust compared to pull-on style knee supports. This support provides gentle compression and warmth to help relieve aches, pain, strains, and weakened knees. High-quality neoprene delivers uniform compression and warmth to help reduce pain and promote recovery. Continue reading